Cutaneous T Cell Lymphoma
Conditions
Keywords
T-Cell, Lymphoma, Cutaneous, CTCL
Brief summary
To assess the efficacy, safety and pharmacokinetics in participants treated with CD11301 gel vs. placebo for early stage CTCL (IA, IB, or IIA).
Detailed description
To assess the efficacy and safety of two concentrations (0.03% and 0.06%) of CD11301 gel in the treatment of early stage CTCL (stage IA, IB, or IIA) versus placebo.
Interventions
Non active ingredients of CD11301
Topical Gel
Topical Gel
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical Diagnosis of CTCL stage IA, IB, or IIA with biopsy within last 3 months * Have BSA involvement corresponding to stages IA, IB or IIA CTCL with at least 3 distinct lesions
Exclusion criteria
* CTCL that is stage IIB or great or stage IIA with stage N2 with \>5% circulating Sezary cells or CD8+ or large cell transformation or Progressive CTCL * History of autoimmune disease * Laboratory test values at screening outside of the normal range and judged clinically significant by the investigator * Current participation in another clinical trial of a drug or device or past participation within 4 weeks before Baseline or participant is in exclusion period from a previous clinical trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12 | Week 12 | Overall response is defined as the number of participants that achieved a complete response (CR) or partial response (PR) as assessed by mCAILS. The mCAILS assessment total was derived from components collected on the case report form (CRF). Target treated lesions (1-5 lesions) were rated in erythema (0-8, where 0=no evidence and 8= very severe), scaling (0-8, where 0=no evidence and 8= very severe), plaque elevation (0-3, where 0=no evidence and 3= marked elevation), and size (scale=0-18, where 0= no measurable area and 18= size of lesion \>300 centimeter \[cm\]\^2). These 4 ratings were summed to create subtotals, 1 per lesion. The final mCAILS assessment score was the sum of these subtotals. Total summation Score: 0-50 where higher score indicated higher severity. Complete response is defined as a 100% decrease from baseline i.e. score of '0' on the mCAILS scale. Partial response is defined as at least a 50%, but less than 100%, decrease from baseline. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12 | Week 12 | OR is defined as the number of participants that achieved a complete response or partial response as assessed by mSWAT. mSWAT composite score involved the direct assessment of the BSA of each type of lesion (palm plus fingers of the participant= approximately 1% BSA) in each of 12 areas (Head, Neck, Anterior trunk, Arms, Forearms, Hands, Posterior trunk, Buttocks, Thighs, Legs, Feet, Groin) of the body, multiplying the sum of the BSA of each lesion type by a weighting factor (patch = 1, plaque = 2, and tumor = 3 or 4) and generating a sum of the subtotals of each lesion subtype. mSWAT score (0=no lesions; 400= lesions covering all areas). Complete response is defined as a 100% decrease from baseline. Partial response is defined as at least a 50%, but less than 100%, decrease from baseline, and with a tumor subscore of zero (no tumor). |
| Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score | Up to Week 36 | Time to overall response (CR or PR) is the number of days from the start of drug application to the first documentation of objective response assessed by mCAILS Score. The 25th, 50th, and 75th percentiles were presented along with 95% confidence intervals using the log-log transformation. The mCAILS assessment total was derived from components collected on the case report form (CRF). Target treated lesions (1-5 lesions) were rated in erythema (0-8, where 0=no evidence and 8= very severe), scaling (0-8, where 0=no evidence and 8= very severe), plaque elevation (0-3, where 0=no evidence and 3= marked elevation), and size (scale=0-18, where 0= no measurable area and 18= size of lesion \>300 centimeter \[cm\]\^2). These 4 ratings were summed to create subtotals, 1 per lesion. The final mCAILS assessment score was the sum of these subtotals. Total summation Score: 0-50 where higher score indicated higher severity. |
| Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score | Up to Week 36 | The duration of overall response (complete or partial) of the target treated lesions based on the mCAILS score was calculated in days as: (date of first non-response after responding) - (date of response) + 1. The mCAILS assessment total was derived from components collected on the case report form (CRF). Target treated lesions (1-5 lesions) were rated in erythema (0-8, where 0=no evidence and 8= very severe), scaling (0-8, where 0=no evidence and 8= very severe), plaque elevation (0-3, where 0=no evidence and 3= marked elevation), and size (scale=0-18, where 0= no measurable area and 18= size of lesion \>300 centimeter \[cm\]\^2). These 4 ratings were summed to create subtotals, 1 per lesion. The final mCAILS assessment score was the sum of these subtotals. Total summation Score: 0-50 where higher score indicated higher severity. |
| Time to Progressive Disease Using mSWAT | Up to Week 36 | Progressive disease is defined as ≥ 25% increase in skin disease from baseline, or loss of response: in those with CR or PR, increase of skin score of greater than the sum of nadir plus 50% baseline score, Nadir is defined as the lowest skin score (best response). |
| Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36 | Week 12, 24 and Follow up (Week 36) | Participants answered 30 questions as part of the Skindex-29 survey. A composite score and 3 sub scores were calculated from the results. Item 18 of the survey was not used in any scoring. First, answers to each item were given a numeric value: Never = 0; Rarely = 25; Sometimes = 50; Often = 75; All the time = 100. The items used to calculate each subscore were: Emotions: 3, 6, 9, 12, 13, 15, 21, 23, 26, and 28 (10 items), Symptoms: 1, 7, 10, 16, 19, 24, and 27 (7 items), Functioning: 2, 4, 5, 8, 11, 14, 17, 20, 22, 25, 29, and 30 (12 items). The composite score is the average of the 3 sub scores ranging from 0 (no effect)-100 (maximum effect), higher score corresponds to lower quality of life. |
Countries
France, Germany, United States
Participant flow
Recruitment details
This study was conducted at 3 countries (France, Germany, USA) between 19 Dec 2017 to 17 Mar 2020. A total of 86 participants were randomized to 1 of the 3 treatment groups (placebo gel or CD11301 gel 0.03% or 0.06%) in a 1:1:1 ratio.
Pre-assignment details
This study consisted of 2 cycles: Cycle 1 and Cycle 2. Each treatment cycle consisted of 8 weeks on treatment followed by 4 weeks without treatment. Cycle 1: drug product was applied on up to 5 percent (%) body surface area (BSA) and 10% BSA in cycle 2.
Participants by arm
| Arm | Count |
|---|---|
| CD11301 Gel 0.06% Participants applied 0.06% CD11301 gel (up to 500 mg per dose) topically once daily, 3 to 5 times per week, for cycle 1 and 2 i.e. 24 weeks. | 30 |
| CD11301 Gel 0.03% Participants applied 0.03% CD11301 gel (up to 500 mg per dose) topically once daily, 3 to 5 times per week, for cycle 1 and 2 i.e. 24 weeks. | 28 |
| Placebo Participants applied placebo gel during cycle one followed by 0.03% CD11301 gel topically during cycle two once daily, 3 to 5 times per week, for 24 weeks. | 28 |
| Total | 86 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Adverse Event | 7 | 1 | 4 |
| Overall Study | Other | 0 | 1 | 2 |
| Overall Study | Progressive Disease | 6 | 3 | 4 |
| Overall Study | Protocol Violation | 0 | 1 | 1 |
| Overall Study | Withdrawal by Subject | 0 | 7 | 2 |
Baseline characteristics
| Characteristic | CD11301 Gel 0.06% | CD11301 Gel 0.03% | Placebo | Total |
|---|---|---|---|---|
| Age, Continuous | 60.4 years STANDARD_DEVIATION 14.43 | 56.8 years STANDARD_DEVIATION 15.68 | 61.0 years STANDARD_DEVIATION 14.21 | 59.5 years STANDARD_DEVIATION 14.72 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 1 Participants | 1 Participants | 2 Participants | 4 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 29 Participants | 27 Participants | 26 Participants | 82 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) Asian | 1 Participants | 0 Participants | 1 Participants | 2 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 1 Participants | 1 Participants | 2 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 1 Participants | 0 Participants | 1 Participants | 2 Participants |
| Race (NIH/OMB) White | 28 Participants | 27 Participants | 24 Participants | 79 Participants |
| Sex: Female, Male Female | 8 Participants | 8 Participants | 12 Participants | 28 Participants |
| Sex: Female, Male Male | 22 Participants | 20 Participants | 16 Participants | 58 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 30 | 0 / 28 | 1 / 27 |
| other Total, other adverse events | 30 / 30 | 28 / 28 | 27 / 27 |
| serious Total, serious adverse events | 2 / 30 | 2 / 28 | 1 / 27 |
Outcome results
Number of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12
Overall response is defined as the number of participants that achieved a complete response (CR) or partial response (PR) as assessed by mCAILS. The mCAILS assessment total was derived from components collected on the case report form (CRF). Target treated lesions (1-5 lesions) were rated in erythema (0-8, where 0=no evidence and 8= very severe), scaling (0-8, where 0=no evidence and 8= very severe), plaque elevation (0-3, where 0=no evidence and 3= marked elevation), and size (scale=0-18, where 0= no measurable area and 18= size of lesion \>300 centimeter \[cm\]\^2). These 4 ratings were summed to create subtotals, 1 per lesion. The final mCAILS assessment score was the sum of these subtotals. Total summation Score: 0-50 where higher score indicated higher severity. Complete response is defined as a 100% decrease from baseline i.e. score of '0' on the mCAILS scale. Partial response is defined as at least a 50%, but less than 100%, decrease from baseline.
Time frame: Week 12
Population: ITT Population included all randomized participants. Here, overall number of participants analyzed signifies number of participants who were evaluable for this outcome measure.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| CD11301 Gel 0.06% | Number of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12 | Complete Response | 0 Participants |
| CD11301 Gel 0.06% | Number of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12 | Partial Response | 4 Participants |
| CD11301 Gel 0.03% | Number of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12 | Complete Response | 2 Participants |
| CD11301 Gel 0.03% | Number of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12 | Partial Response | 5 Participants |
| Placebo | Number of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12 | Complete Response | 0 Participants |
| Placebo | Number of Participants Reported Overall Response (Complete and Partial) of Target Treated Lesions Based on Modified Composite Assessment of Index Lesion Severity (mCAILS) Score at Week 12 | Partial Response | 1 Participants |
Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36
Participants answered 30 questions as part of the Skindex-29 survey. A composite score and 3 sub scores were calculated from the results. Item 18 of the survey was not used in any scoring. First, answers to each item were given a numeric value: Never = 0; Rarely = 25; Sometimes = 50; Often = 75; All the time = 100. The items used to calculate each subscore were: Emotions: 3, 6, 9, 12, 13, 15, 21, 23, 26, and 28 (10 items), Symptoms: 1, 7, 10, 16, 19, 24, and 27 (7 items), Functioning: 2, 4, 5, 8, 11, 14, 17, 20, 22, 25, 29, and 30 (12 items). The composite score is the average of the 3 sub scores ranging from 0 (no effect)-100 (maximum effect), higher score corresponds to lower quality of life.
Time frame: Week 12, 24 and Follow up (Week 36)
Population: ITT Population included all randomized participants. Here, overall number of participants analyzed signifies number of participants who were evaluable for this outcome measure and at specific category.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CD11301 Gel 0.06% | Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36 | Week 24 | -2.16 score on scale | Standard Deviation 11.651 |
| CD11301 Gel 0.06% | Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36 | Week 12 | 1.93 score on scale | Standard Deviation 12.408 |
| CD11301 Gel 0.06% | Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36 | Week 36 | -3.30 score on scale | Standard Deviation 14.838 |
| CD11301 Gel 0.03% | Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36 | Week 24 | -3.36 score on scale | Standard Deviation 9.816 |
| CD11301 Gel 0.03% | Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36 | Week 12 | -0.27 score on scale | Standard Deviation 8.583 |
| CD11301 Gel 0.03% | Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36 | Week 36 | -3.22 score on scale | Standard Deviation 8.34 |
| Placebo | Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36 | Week 12 | -1.58 score on scale | Standard Deviation 13.243 |
| Placebo | Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36 | Week 36 | -0.34 score on scale | Standard Deviation 14.081 |
| Placebo | Change From Baseline in Skindex-29 Survey Results at Week 12, 24 and 36 | Week 24 | 0.58 score on scale | Standard Deviation 16.059 |
Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score
The duration of overall response (complete or partial) of the target treated lesions based on the mCAILS score was calculated in days as: (date of first non-response after responding) - (date of response) + 1. The mCAILS assessment total was derived from components collected on the case report form (CRF). Target treated lesions (1-5 lesions) were rated in erythema (0-8, where 0=no evidence and 8= very severe), scaling (0-8, where 0=no evidence and 8= very severe), plaque elevation (0-3, where 0=no evidence and 3= marked elevation), and size (scale=0-18, where 0= no measurable area and 18= size of lesion \>300 centimeter \[cm\]\^2). These 4 ratings were summed to create subtotals, 1 per lesion. The final mCAILS assessment score was the sum of these subtotals. Total summation Score: 0-50 where higher score indicated higher severity.
Time frame: Up to Week 36
Population: ITT Population included all randomized participants. Here, overall number of participants analyzed signifies number of participants who were evaluable for this outcome measure.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| CD11301 Gel 0.06% | Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score | 50th (95% CI) | 141 Days |
| CD11301 Gel 0.06% | Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score | 25th (95% CI) | 133 Days |
| CD11301 Gel 0.06% | Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score | 75th (95% CI) | NA Days |
| CD11301 Gel 0.03% | Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score | 50th (95% CI) | NA Days |
| CD11301 Gel 0.03% | Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score | 25th (95% CI) | NA Days |
| CD11301 Gel 0.03% | Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score | 75th (95% CI) | NA Days |
| Placebo | Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score | 25th (95% CI) | NA Days |
| Placebo | Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score | 75th (95% CI) | NA Days |
| Placebo | Duration of Overall Response (Complete Response or Partial Response) Based on mCAILS Score | 50th (95% CI) | NA Days |
Number of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12
OR is defined as the number of participants that achieved a complete response or partial response as assessed by mSWAT. mSWAT composite score involved the direct assessment of the BSA of each type of lesion (palm plus fingers of the participant= approximately 1% BSA) in each of 12 areas (Head, Neck, Anterior trunk, Arms, Forearms, Hands, Posterior trunk, Buttocks, Thighs, Legs, Feet, Groin) of the body, multiplying the sum of the BSA of each lesion type by a weighting factor (patch = 1, plaque = 2, and tumor = 3 or 4) and generating a sum of the subtotals of each lesion subtype. mSWAT score (0=no lesions; 400= lesions covering all areas). Complete response is defined as a 100% decrease from baseline. Partial response is defined as at least a 50%, but less than 100%, decrease from baseline, and with a tumor subscore of zero (no tumor).
Time frame: Week 12
Population: ITT Population included all randomized participants. Here, overall number of participants analyzed signifies number of participants who were evaluable for this outcome measure.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| CD11301 Gel 0.06% | Number of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12 | Complete Response | 0 Participants |
| CD11301 Gel 0.06% | Number of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12 | Partial Response | 6 Participants |
| CD11301 Gel 0.03% | Number of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12 | Complete Response | 0 Participants |
| CD11301 Gel 0.03% | Number of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12 | Partial Response | 4 Participants |
| Placebo | Number of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12 | Complete Response | 0 Participants |
| Placebo | Number of Participants Reported Overall Response (OR) of Target Treated Lesions Based on Modified Severity-Weighted Assessment Tool (mSWAT) Score at Week 12 | Partial Response | 2 Participants |
Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score
Time to overall response (CR or PR) is the number of days from the start of drug application to the first documentation of objective response assessed by mCAILS Score. The 25th, 50th, and 75th percentiles were presented along with 95% confidence intervals using the log-log transformation. The mCAILS assessment total was derived from components collected on the case report form (CRF). Target treated lesions (1-5 lesions) were rated in erythema (0-8, where 0=no evidence and 8= very severe), scaling (0-8, where 0=no evidence and 8= very severe), plaque elevation (0-3, where 0=no evidence and 3= marked elevation), and size (scale=0-18, where 0= no measurable area and 18= size of lesion \>300 centimeter \[cm\]\^2). These 4 ratings were summed to create subtotals, 1 per lesion. The final mCAILS assessment score was the sum of these subtotals. Total summation Score: 0-50 where higher score indicated higher severity.
Time frame: Up to Week 36
Population: ITT Population included all randomized participants. Here, overall number of participants analyzed signifies number of participants who were evaluable for this outcome measure.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| CD11301 Gel 0.06% | Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score | 50th (95% CI) | 197 Days |
| CD11301 Gel 0.06% | Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score | 25th (95% CI) | 169 Days |
| CD11301 Gel 0.06% | Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score | 75th (95% CI) | 257 Days |
| CD11301 Gel 0.03% | Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score | 50th (95% CI) | NA Days |
| CD11301 Gel 0.03% | Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score | 25th (95% CI) | 85 Days |
| CD11301 Gel 0.03% | Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score | 75th (95% CI) | NA Days |
| Placebo | Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score | 25th (95% CI) | NA Days |
| Placebo | Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score | 75th (95% CI) | NA Days |
| Placebo | Time to Participant's First Overall Response (Complete or Partial) of the Target Treated Lesions Based on the mCAILS Score | 50th (95% CI) | NA Days |
Time to Progressive Disease Using mSWAT
Progressive disease is defined as ≥ 25% increase in skin disease from baseline, or loss of response: in those with CR or PR, increase of skin score of greater than the sum of nadir plus 50% baseline score, Nadir is defined as the lowest skin score (best response).
Time frame: Up to Week 36
Population: ITT Population included all randomized participants. Here, overall number of participants analyzed signifies number of participants who were evaluable for this outcome measure.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| CD11301 Gel 0.06% | Time to Progressive Disease Using mSWAT | 50th (95% CI) | NA Days |
| CD11301 Gel 0.06% | Time to Progressive Disease Using mSWAT | 25th (95% CI) | NA Days |
| CD11301 Gel 0.06% | Time to Progressive Disease Using mSWAT | 75th (95% CI) | NA Days |
| CD11301 Gel 0.03% | Time to Progressive Disease Using mSWAT | 50th (95% CI) | NA Days |
| CD11301 Gel 0.03% | Time to Progressive Disease Using mSWAT | 25th (95% CI) | 191 Days |
| CD11301 Gel 0.03% | Time to Progressive Disease Using mSWAT | 75th (95% CI) | NA Days |
| Placebo | Time to Progressive Disease Using mSWAT | 25th (95% CI) | 93 Days |
| Placebo | Time to Progressive Disease Using mSWAT | 75th (95% CI) | 93 Days |
| Placebo | Time to Progressive Disease Using mSWAT | 50th (95% CI) | 93 Days |